KATHLEEN CONDON
NPI 1720617517
Student in an Organized Health Care Education/Training Program in Metairie, LA

Active since April 03, 2020PECOS Enrolled
4740 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001(503) 545-6980 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Condon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN CONDON (NPI 1720617517) is an individual student in an organized health care education/training program in Metairie, Louisiana and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720617517
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN CONDON
Location Address4740 S I 10 SERVICE RD W STE 200Metairie, LA 70001-1244
Mailing Address4740 S I 10 Service Rd W Ste 200Metairie, LA 70001-1244 · (504) 988-5458 · Fax (504) 988-6808
Sole ProprietorNo
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
NPI 1720617517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4740 S I 10 SERVICE RD W STE 200, Metairie, LA 70001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Condon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Pediatrics
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Student in an Organized Health Care Education/Training Program
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Student in an Organized Health Care Education/Training Program
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Student in an Organized Health Care Education/Training Program
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Student in an Organized Health Care Education/Training Program
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Pediatrics
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001
Student in an Organized Health Care Education/Training Program
4740 S I 10 SERVICE RD W STE 200
METAIRIE, LA 70001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Condon's NPI number?

The NPI number for Kathleen Condon is 1720617517. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kathleen Condon located?

Kathleen Condon practices at 4740 S I 10 Service Rd W Ste 200, Metairie, LA 70001. The listed phone number is (503) 545-6980.

What is Kathleen Condon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Condon enrolled in Medicare?

Yes. Kathleen Condon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Condon was last updated on April 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.